Douglas Ray Hogan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

006993 Issued in NY

Practice address

4 Woody LN
Northport, NY 11768-3252

Phone

(631) 754-5289

NPI assigned

Apr 8, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1669798104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WOODY LN",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683252",
            "telephone_number": "631-754-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WOODY LN",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683252",
            "telephone_number": "631-754-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "DOUGLAS",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "006993",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Hickman-Kiernan, OTR/L
• Georgina Hignell
• Jacqueline Davis Hill
• Eleanor Hobbs, PH.D., ANP-BC
• Donald Raymond Hoey, RPA-C
• Joan Ann Holdsworth, RN ANPC
• Joanne Julia Holland, M.D.
• Linda Marie Honkanen, MD
• Jessica Horne, LPN
• Stacy A. Hovanec, LCSW

• Clinical Psychologist in Northport, NY
• Providers in Northport, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.